Joilson Meneguci, Lucas Lima Galvão, Cíntia Aparecida Garcia Meneguci, Antonio Paulo Ferreira da Silva, Eduardo da Silva Paula, Jair Sindra Virtuoso Júnior
{"title":"Association of Physical Activity and Sedentary Behavior With Depressive Symptoms in Older Adults: A Structural Equation Modeling in Cross-Sectional Study.","authors":"Joilson Meneguci, Lucas Lima Galvão, Cíntia Aparecida Garcia Meneguci, Antonio Paulo Ferreira da Silva, Eduardo da Silva Paula, Jair Sindra Virtuoso Júnior","doi":"10.1123/japa.2024-0037","DOIUrl":"https://doi.org/10.1123/japa.2024-0037","url":null,"abstract":"<p><strong>Background/objectives: </strong>Few conceptual models demonstrate how the relationship between behavioral factors, especially physical activity (PA) and sedentary behavior (SB), and depressive symptoms occurs in older adults. In this regard, understanding how these relationships occur may help in designing future behavior change interventions. The aim of the present study was to evaluate the associations of PA and SB with depressive symptoms in older adults, accounting for functional capacity, sleep quality, self-esteem, and self-efficacy as possible mediators.</p><p><strong>Methods: </strong>In overall, 466 older adults aged ≥60 years participated in the study with a cross-sectional design. We subjectively assessed depressive symptoms, PA and SB, self-efficacy for walking and PA, instrumental activities of daily living, sleep quality, and self-esteem. Structural equation modeling was used to investigate the direct and indirect associations of PA and SB with depressive symptoms.</p><p><strong>Results: </strong>Although PA and SB do not have a direct association with depressive symptoms, these behaviors seem to have total effects on the outcome. The association of SB with depressive symptoms was mediated by functional capacity and sleep quality. And the association of PA was mediated by functional capacity and self-esteem.</p><p><strong>Conclusion: </strong>To reduce depressive symptoms in older adults, PA and SB interventions need to promote sleep quality, functional capacity, and self-esteem. Significance/Implications: Interventions that promote the continuation of regular PA and the reduction of time spent in SB should be encouraged, seeking to improve sleep quality and increase functional capacity, in order to reduce the rates of depressive symptoms in older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saeid Mirzai, Maximilian C Volk, Richard Kazibwe, Mohanad Gabani, Christopher L Schaich, Racquel Hammonds, Austin Seals, Matthew J Singleton, Joseph Yeboah, Michael D Shapiro, David Herrington, Dalane W Kitzman, Timothy M Hughes, Jeff D Williamson, Stephen B Kritchevsky
{"title":"Association of Gait Speed With Cognitive Outcomes in Older Adults With Hypertension: A Secondary SPRINT MIND Analysis.","authors":"Saeid Mirzai, Maximilian C Volk, Richard Kazibwe, Mohanad Gabani, Christopher L Schaich, Racquel Hammonds, Austin Seals, Matthew J Singleton, Joseph Yeboah, Michael D Shapiro, David Herrington, Dalane W Kitzman, Timothy M Hughes, Jeff D Williamson, Stephen B Kritchevsky","doi":"10.1123/japa.2024-0152","DOIUrl":"https://doi.org/10.1123/japa.2024-0152","url":null,"abstract":"<p><strong>Background/objectives: </strong>Hypertension is linked to slower walking pace and cognitive decline, but the ability of slow gait to predict dementia in older adults with hypertension is unclear. This study examined whether slow baseline gait predicts future cognitive impairment in older adults with hypertension enrolled in the Systolic Blood Pressure Intervention Trial (SPRINT) Memory and Cognition in Decreased Hypertension (MIND) study.</p><p><strong>Methods: </strong>SPRINTMIND randomized adults ≥50 years of age with hypertension to intensive (target systolic blood pressure <120 mmHg) or standard (<140 mmHg) blood pressure control. Baseline gait speed was measured in participants ≥75 years of age. We defined slow gait as speed ≤0.8 m/s. Outcomes were probable dementia (pD), mild cognitive impairment (MCI), and composite pD or MCI.</p><p><strong>Results: </strong>Among 2,351 participants, 33.3% had slow baseline gait. Over median 4-year follow-up, the slow gait group had higher rates of incident pD (13.5% vs 6.4%), MCI (19.4% vs 11.9%), and pD or MCI (29.2% vs 16.3%) compared with normal gait. Adjusted Cox regression models revealed that slow gait was associated with a 1.85-fold higher risk of pD (95% confidence interval [1.37, 2.50], p < .001), 1.52-fold higher risk of MCI (95% confidence interval [1.20, 1.93], p = .001), and 1.61-fold higher risk of pD or MCI (95% confidence interval [1.32, 1.97], p < .001). Intensive blood pressure control did not significantly affect cognitive outcomes in either gait group.</p><p><strong>Conclusion: </strong>Slow gait speed predicts increased cognitive decline risk among older adults with hypertension. Significance/Implications: Gait speed assessment can identify older adults with hypertension at higher risk of cognitive decline, allowing earlier intervention to potentially delay progression.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ania Lipat, Jessica Peterson, Larissa Strath, Roger B Fillingim, Kyle D Allen, Yenisel Cruz-Almeida
{"title":"The Mediating Role of Physical Function on the Self-Reported Pain and Cognitive Function Association.","authors":"Ania Lipat, Jessica Peterson, Larissa Strath, Roger B Fillingim, Kyle D Allen, Yenisel Cruz-Almeida","doi":"10.1123/japa.2024-0084","DOIUrl":"https://doi.org/10.1123/japa.2024-0084","url":null,"abstract":"<p><strong>Background/objectives: </strong>Studies that have investigated the relationship between pain intensity and interference and cognitive function have failed to fully consider the role physical function may play in this relationship. Therefore, the purpose of this study was to examine the mediating role of physical function in the relationship between self-reported pain intensity and interference and cognitive function in middle-to-older aged adults with knee pain.</p><p><strong>Methods: </strong>Middle-to-older aged participants with knee pain (n = 202) completed the Graded Chronic Pain Scale to assess pain intensity and interference, the Short Performance Physical Battery to assess lower-extremity physical function, and the Montreal Cognitive Assessment to assess global cognitive function. Linear regression-based mediation analyses were used to assess associations between pain intensity and interference and cognitive function, with lower-extremity physical function as the mediator.</p><p><strong>Results: </strong>The direct relationship between pain intensity and cognitive function was significant (β = -0.269, p < .001) and remained significant when physical function was included as a mediator (c'=-0.0854, p = .003). The direct relationship between pain interference and cognitive function was also significant (β = -0.149, p = .023) but was attenuated when physical function was included as a mediator (c'=-0.0100, p = .09).</p><p><strong>Conclusion: </strong>Physical function partially mediated the relationship between pain intensity and cognitive function and fully mediated the relationship between pain interference and cognitive function. Significance/Implications: Higher levels of pain intensity and interference may lead to worse cognitive function when physical function is also impaired. Improving physical function may improve cognitive function in those with pain.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gökçe Yağmur Güneş Gencer, Neriman Temel Aksu, Yeliz Teke, Hanife Hale Hekim, Ali Akdağ
{"title":"Relationship Between Community Integration, Physical Activity, Pain Quality, and Quality of Life in Older Adults With Knee Osteoarthritis.","authors":"Gökçe Yağmur Güneş Gencer, Neriman Temel Aksu, Yeliz Teke, Hanife Hale Hekim, Ali Akdağ","doi":"10.1123/japa.2023-0452","DOIUrl":"https://doi.org/10.1123/japa.2023-0452","url":null,"abstract":"<p><strong>Objectives: </strong>This cross-sectional study investigated the relationship between community integration, physical activity, pain quality, and quality of life in older adults with knee osteoarthritis.</p><p><strong>Methods: </strong>It included 92 older adults aged 60 and over diagnosed with osteoarthritis of Stage 2 and above, according to the Kellgren-Lawrence classification. Participants were evaluated using the Community Integration Questionnaire, Western Ontario and McMaster Universities Osteoarthritis Index, International Physical Activity Questionnaire, Pain Quality Assessment Scale, and World Health Organization Quality of Life-old module Scales.</p><p><strong>Results: </strong>The mean age of 92 older adults included in the study was 67.5 ± 7.6 years. Specifically, for every 0.599 unit decrease in the Western Ontario and McMaster Universities Osteoarthritis Index physical function score (indicating an improvement in physical function), the community integration level increased by 0.196 units. Additionally, for every 0.380 unit increase in total physical activity level (measured in metabolic equivalent of task), the community integration level increased by 0.001 units. Also, community integration was negatively associated with pain intensity and positively associated with quality of life (p < .05).</p><p><strong>Conclusion: </strong>In the treatment of knee osteoarthritis, it is essential to provide intervention support to combat the symptoms of the disease, increase physical activity, and maintain community integration.</p><p><strong>Implications: </strong>In older adults diagnosed with knee osteoarthritis, community integration decreases as the severity of osteoarthritis increases with age. For older adults with knee osteoarthritis to have a better quality of life and active aging, it would be appropriate to add interventions to maintain and increase community integration in osteoarthritis treatment programs.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-7"},"PeriodicalIF":1.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helena Bilsborough, Amy Davies, Chris Todd, Afroditi Stathi, Helen Hawley-Hague
{"title":"Motives of Peer Volunteers Aged Over 50 in Physical Activity Programs: A Scoping Review.","authors":"Helena Bilsborough, Amy Davies, Chris Todd, Afroditi Stathi, Helen Hawley-Hague","doi":"10.1123/japa.2023-0229","DOIUrl":"https://doi.org/10.1123/japa.2023-0229","url":null,"abstract":"<p><p>Peer-volunteering schemes can facilitate health improvement via increasing physical activity levels. Understanding what motivates peer volunteers is valuable for the feasibility of volunteering schemes. This scoping review aims to explore the motivations of peer volunteers aged over 50 who participate in programs that promote physical activity. Four databases were searched in March 2023 with no date restrictions. The inclusion criteria were adults over 50 years of age, experience in physical activity peer-volunteering schemes, assessed volunteer motivation, and uses English language. Nine studies were included (252 participants, aged 54-85) Peer-volunteer and volunteering characteristics were extracted from the papers. An inductive thematic analysis approach was taken to analyze the motivation data. The themes were then mapped onto theoretical constructs of motivation. Three themes of motivation emerged that could enable us to better design peer-volunteer recruitment strategies: altruistic (giving back), personal improvement (meeting goals), and past experience (helping others overcome experienced barriers). The review suggested that peer-volunteer motivations fall in line with the mechanisms of motivation suggested by psychological theories such as social cognitive and self-determination theories. To improve peer-volunteer uptake and retention, appropriate theoretical frameworks should be employed to inform the content of future interventions to ensure that volunteers will have their motivations met.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elisa F Ogawa, Rebekah Harris, Jennifer Moye, Jonathan F Bean, Bo Kim
{"title":"Veterans' Motivation, Preference, and Feedback After Completing a Novel Physical Therapy Treatment.","authors":"Elisa F Ogawa, Rebekah Harris, Jennifer Moye, Jonathan F Bean, Bo Kim","doi":"10.1123/japa.2023-0446","DOIUrl":"https://doi.org/10.1123/japa.2023-0446","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated Veterans' motivation and perception of different components of a novel physical therapy (PT) treatment aimed at increasing mobility, motivation, and exercise adoption.</p><p><strong>Methods: </strong>Patient-satisfaction surveys were administered to middle-aged to older Veterans (≥50 years old) with slow walking speed who completed the 8-week PT treatment. Mixed methods were employed to assess rating-based responses and examine themes derived from open-ended responses.</p><p><strong>Results: </strong>Twenty-three participants completed the surveys (mean age: 73 years, Short Physical Performance Battery: 8.5, 96% male). Overall, participants were satisfied with the PT treatment (80%), and over 85% responded that the PT treatment met its objectives by improving their mobility. Veterans rated functional power training as challenging and the most valuable component of Live Long Walk Strong mobility training. Factors that influenced Veterans' motivations for meeting their exercise goals, were having a personal goal, a motivated physical therapist, and scheduled appointments. Participants rated aspects of behavioral coaching to be \"somewhat useful\" or \"very useful.\" Approximately half of the Veterans did not use the exercise journal to keep track of their home exercises. Reasons for not using the exercise journal were feeling busy or already having an exercise routine.</p><p><strong>Conclusion: </strong>Our results highlight the importance of prescribing challenging and meaningful PT treatment even among mobility-limited Veterans. Veterans may achieve their exercise goals by being instructed by a motivated physical therapist, having personal goals, and scheduling future appointments. There may be individual variability among those who may benefit from aspects of behavioral coaching and may need to be adjusted based on Veteran's needs.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum. A 3-Month Dual-Task Exercise Randomized Pilot Trial Improves Dynamic Stability and Coordination in Community-Dwelling Older Adults.","authors":"","doi":"10.1123/japa.2025-0006","DOIUrl":"10.1123/japa.2025-0006","url":null,"abstract":"","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"208"},"PeriodicalIF":1.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wen Qi, David Alarcón, María José Arenilla, Hongli Yu, José Carlos Jaenes, Manuel Trujillo, Dominika Wilczyńska
{"title":"A Systematic Review and Meta-Analysis of Asian Exercise Techniques and Various Physical Activity Interventions in Middle and Late Adulthood Patients With Knee Osteoarthritis.","authors":"Wen Qi, David Alarcón, María José Arenilla, Hongli Yu, José Carlos Jaenes, Manuel Trujillo, Dominika Wilczyńska","doi":"10.1123/japa.2024-0077","DOIUrl":"https://doi.org/10.1123/japa.2024-0077","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this review and meta-analysis is to compare different low-intensity forms of physical activity (PA; Baduanjin, Tai Chi, walking, and general PA) as treatments for knee osteoarthritis.</p><p><strong>Methods: </strong>Between 2003 and 2023, pertinent articles published in scientific electronic databases (PubMed, Web of Science, EBSCOhost, and Google Scholar) were searched in preparation for a systematic review and meta-analysis. Twenty-four studies that satisfied the requirements were selected, with a total sample size of 1,972 participants, of which 71.46% were female. Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria were followed in the study selection process, and the Cochrane Collaboration's risk of bias tool was used to evaluate the quality of the included studies.</p><p><strong>Results: </strong>The systematic review and meta-analysis indicated that various low-intensity PAs, particularly Asian exercise techniques such as Baduanjin, Tai Chi, and walking, significantly alleviated symptoms of knee osteoarthritis in middle and late adulthood. Pain reduction showed a moderately significant effect size (d = -0.65, SE = 0.14, p < .001), with all interventions, including Baduanjin, general PA, Tai Chi, and walking, significantly decreasing pain levels. Stiffness also improved, with a moderate effect size (d = -0.71, SE = 0.17, p < .001), and physical function significantly improved (d = -0.58, SE = 0.15, p < .001).</p><p><strong>Conclusion: </strong>The results suggest that walking and Baduanjin exercises can be effectively integrated into community-based programs for middle-aged and older adults to manage knee osteoarthritis symptoms, offering a cost-effective nonpharmacological intervention.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Henrique Martins Monteiro, Paola Janeiro Valenciano, Pedro Henrique Silva Mendes, Luis Augusto Teixeira
{"title":"Association of 30-s Sit-to-Stand Power Test Outcome With Body Balance in Physically Active Older Adults.","authors":"Pedro Henrique Martins Monteiro, Paola Janeiro Valenciano, Pedro Henrique Silva Mendes, Luis Augusto Teixeira","doi":"10.1123/japa.2023-0373","DOIUrl":"https://doi.org/10.1123/japa.2023-0373","url":null,"abstract":"<p><p>Amount of serial sitting and standing movements has been employed in clinical and research settings to assess legs' muscular strength. In this cross-sectional study, we aimed to test the correlation between the 30-s sit-to-stand power test (30STSp) outcome and body balance in older adults. We evaluated physically active male and female (n = 51) individuals with an age range of 60-80 years (M = 69.29). Participants were assessed on the maximum number of repetitions for 30STSp and on the performance of balance tasks, as follows: quiet standing in unipedal support, unipedal support while alternately touching two targets on the ground with the toe of the nonsupporting foot in either the anteroposterior (AP) or mediolateral (ML) direction, and paced sit-to-stand supported on a narrow bipedal support base. Performance on the balance tasks was measured through smartphone-based triaxial trunk accelerometry (meters per second squared), with analysis made through root mean square for the AP and ML axes. Analysis indicated significant negative correlation coefficients of 30STSp outcome with trunk acceleration on unipedal quiet stance tasks both in the ML (rs = -.46) and AP (rs = -.40) directions and with the AP alternate target touching task for ML trunk acceleration (rs = -.34) and the ML alternate target touching task for AP trunk acceleration (rs = -.31). These results suggest that in active older adults, the 30STSp outcome is associated with balance in unipedal quiet standing and dynamic tasks. Our findings indicate the contribution of balance control in the performance of 30STSp.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helaine M Alessio, Nancy Malay, Annemarie Jones, Lindsay Stein, Taylor Thornburg, Michael O'Connell, Dean L Smith
{"title":"A 3-Month Dual-Task Exercise Randomized Pilot Trial Improves Dynamic Stability and Coordination in Community-Dwelling Older Adults.","authors":"Helaine M Alessio, Nancy Malay, Annemarie Jones, Lindsay Stein, Taylor Thornburg, Michael O'Connell, Dean L Smith","doi":"10.1123/japa.2023-0270","DOIUrl":"10.1123/japa.2023-0270","url":null,"abstract":"<p><strong>Introduction: </strong>Dual-task (DT) exercises combine both physical and cognitive activities and have the potential to efficiently enhance both physical and cognitive function.</p><p><strong>Background/objectives: </strong>This study aimed to determine if, compared with exercise-only (EO) and control (C) groups, adults in a DT training program improved measures of cognitive and/or physical functioning.</p><p><strong>Methods: </strong>Thirty-five participants (Mage = 65.7 ± 8.5 years; 74.3% female, 25.7% male) were randomly sorted into EO (n = 15), DT (n = 10), and C (n = 10). EO and DT participated in 3 months of twice weekly, 50-min exercise. DT played cognitive games on a SMARTfit Cognitive-Motor Exercise System during exercise sessions. C did not participate in any supervised sessions. Cognition was assessed with a Cognivue Thrive program. Dynamic stability, coordination, and lower body strength were assessed. Linear mixed-effects models investigated effects for different groups. For outcomes showing significant (p < .05) differences, pairwise t tests were conducted between all treatment and time comparisons.</p><p><strong>Results: </strong>Dynamic stability and coordination improved in DT and EO (p = .002 and .04, respectively), but not in C in the first 6 weeks (p = .58). Cognition and memory did not change over time among the three groups.</p><p><strong>Conclusion: </strong>Healthy, independent-living older adults in either DT or EO improved dynamic stability and coordination over time and DT improved balance and functional mobility more than either EO or C. No improvements in several standard cognition or memory measurements were observed. Significance/Implications: A DT exercise program improved balance and coordination, but not cognition or memory, in healthy, independent-living older adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}